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MARK A EDELMAN M.D. NPI 1063405819


NPI Information

NPI: 1063405819
Provider Name: MARK A EDELMAN, M.D.
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

PECOS Registration: Yes

Address:
1290 SUMMER ST STE 2100
STAMFORD, CT
ZIP 06905
Phone: (855) 830-8346
Get Directions

Mark A Edelman, M.D. is a vascular and interventional radiology radiology in Stamford, CT with 38 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Mark A Edelman, M.D. NPI is 1063405819. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1986

The provider's business location address is:

1290 SUMMER ST STE 2100
STAMFORD, CT
ZIP 06905-340
Phone: (855) 830-8346

The NPI 1063405819 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)

The enumeration date for this NPI number is 8/26/2005 and was last updated on 6/4/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology036094621ILLINOISNo
22085R0204XRadiologyVascular & Interventional Radiology036094621ILLINOISNo
32085R0204XRadiologyVascular & Interventional Radiology172012-1NEW YORKNo
42085R0204XRadiologyVascular & Interventional Radiology51858CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1036094621MEDICAIDILLINOIS
201301766MEDICAIDNEW YORK
3202926OTHERILLINOISGROUP PTAN
4008047540MEDICAIDCONNECTICUT
5212545OTHERILLINOISGROUP PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.